12 a patient receives aspart novolog insulin at 800 am which time will it be most important for the nurse to monitor for symptoms of hypoglycemia

ATI RN

ATI Leadership Proctored Exam 2023

1. 12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

A. 10:00 AM
B. 12:00 PM
C. 2:00 PM
D. 4:00 PM

Correct answer: A

Rationale: After receiving aspart (NovoLog) insulin, which has a rapid onset, it is crucial to monitor the patient for symptoms of hypoglycemia during the peak action time. Typically, the peak action of aspart insulin occurs around 2 hours after administration. Therefore, the nurse should be most vigilant for hypoglycemia symptoms at 10:00 AM. Choice B (12:00 PM) is incorrect as it falls after the expected peak action time. Choices C (2:00 PM) and D (4:00 PM) are also incorrect because the peak action time of aspart insulin typically occurs earlier, around 2 hours post-administration.

2. Which of the following is true regarding health care systems today?

A. They are all managed care organizations.
B. They are all privately owned.
C. Only HMOs are profitable.
D. There are multiple types of organizations.

Correct answer: D

Rationale: The correct answer is D: 'There are multiple types of organizations.' This statement is true as there are various health care delivery systems in today's world, including but not limited to managed care organizations, privately owned facilities, and other models. Choices A, B, and C are incorrect because not all health care systems are managed care organizations, privately owned, or only profitable if they are HMOs. Health care systems can vary in ownership, management, and profitability, making choice D the most accurate.

3. Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?

Correct answer: A

Rationale:

4. Which of the following describes the concept of ratification?

A. Contract administration
B. Contract passage
C. Contract denial
D. Contract reorganization

Correct answer: B

Rationale: The correct answer is B: 'Contract passage.' Ratification refers to the approval or confirmation of a contract by a simple majority of members who vote to pass it. Choice A, 'Contract administration,' does not accurately describe ratification as it focuses more on the management of contracts rather than their approval. Choice C, 'Contract denial,' is incorrect as ratification implies acceptance or approval, not denial. Choice D, 'Contract reorganization,' is also incorrect as ratification does not involve restructuring or reorganizing a contract, but rather confirming its validity.

5. Which of the following should be included in a discussion of advance directives with new nurse graduates?

A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
D.

Correct answer: A

Rationale: According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.